Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.25 / $5,836.42 / $11,298.00	Facility		$1,655.25	$5,836.42	$11,298.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $9,116.93 / $9,116.93 / $9,116.93	Facility	22	$9,116.93	$9,116.93	$9,116.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,004.00 / $8,914.50 / $14,074.50	Facility	50	$2,004.00	$8,914.50	$14,074.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $438.17 / $642.32	Professional		$320.58	$438.17	$642.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,515.73 / $5,744.03 / $14,815.89	Facility		$2,515.73	$5,744.03	$14,815.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $358.71 / $358.71 / $432.15	Professional		$358.71	$358.71	$432.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.63 / $643.99 / $1,317.74	Professional		$382.63	$643.99	$1,317.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.58 / $630.33 / $753.10	Professional		$465.58	$630.33	$753.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,303.25 / $11,903.44 / $25,101.06	Facility		$10,303.25	$11,903.44	$25,101.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.83 / $447.93 / $824.13	Professional		$335.83	$447.93	$824.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $423.47 / $933.52	Professional		$302.50	$423.47	$933.52